Elbow, Forearm, Wrist, Hand (Therex)

38 Questions | By Aparish | Updated: Mar 21, 2022 | Attempts: 413

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Questions and Answers

1.

The 2 major articulations of the wrist are Radiocarpal joint and Midcarpal joint
- A.
  
  True
- B.
  
  False
2.

Muscle length for the triceps is done by flexing the elbow and shoulder
- A.
  
  True
- B.
  
  False
3.

Carrying angle and rest position of elbow is:
- A.
  
  5-10 degrees valgus
- B.
  
  15-20 degrees valgus
- C.
  
  15-20 degrees varus
- D.
  
  5-10 degrees varus
4.

When evaluating the elbow/wrist/hand, in addition to ROM and MMT, the following are important: Activity limits, participation restrictions, Posture (head and neck) Muscle tone, swelling, Quality, color and temp of skin, quality of nails, carrying angle and rest position of elbow, ability to use limb, resting position of hand
- A.
  
  True
- B.
  
  False
5.

Which of the following is true regarding Varus & Valgus instability and Dislocations?
- A.
  
  Classified by direction of movement of radius & ulna on humerus
- B.
  
  Posterior is most common (often occurs from fall on outstretched arm-dont reach back when you fall)
- C.
  
  Treatment after reduction- begin with rest/healing and progress
- D.
  
  Anterior is most common (often occurs from fall on outstretched arm
6.

Inflammation of the tendon on Extensor Carpi Radialis Brevis is also known as:
- A.
  
  Golfer's elbow
- B.
  
  DeQuervain's tenosynovitis
- C.
  
  Lateral/ Tennis Elbow
- D.
  
  Carpal Tunnel syndrome
7.

Epicondylitis and DeQuervain's tenosynovitis are examples of overuse injuries.
- A.
  
  True
- B.
  
  False
8.

Inflammation of tendons of Extesnor Pollicus Brevis and Abductor Pollicis Longus is also known as:
- A.
  
  Golfer's elbow
- B.
  
  DeQuervain's tenosynovitis
- C.
  
  Tennis Elbow
- D.
  
  Carpal Tunnel Syndrome
9.

DeQuervain's Tenosynovitis is the result of overuse of hand/ wrist with radial deviation and thumb stabilized in a grip.
- A.
  
  True
- B.
  
  False
10.

Inflammation of tendons of Pronator teres and Flexor Carpi Radialis is also known as:
- A.
  
  Lateral/ Tennis elbow
- B.
  
  DeQeurvain's Tenosynovitis
- C.
  
  Medial/ Golfer's elbow
- D.
  
  Carpal Tunnel syndrome
11.

Treatment of overuse injuries include:
- A.
  
  Relative rest/modalities to allow tissue to heal; may use cross-fiber massage
- B.
  
  Progress from PROM-AAROM-resistance-Functional activities (consider high reps/low resistance)
- C.
  
  Occasional use of bracing/splinting
- D.
  
  Posture/ body mechanics/ ergonomics
- E.
  
  Balance medial/ lateral and anterior/ posterior musculature
12.

Median nerve innervates _____ muscles on radial side
13.

Median nerve entrapment symptoms include impaired sensation in 1st-3rd digits & lateral half of 4th digits (palmar aspect) (thenar eminence ) and weakness of digits 1-4 and weak grip, particularly with flexion.
- A.
  
  True
- B.
  
  False
14.

Ulnar nerve innervates _____ muscles on the ulnar side
15.

Entrapment symtoms of Ulnar nerve entrapment include:
- A.
  
  Impaired sensation in digits 5 and medial half of 4( palmar aspect) (in hyperthenar eminence )
- B.
  
  Impaired sensation on posterior/ radial hand and digits 1-3
- C.
  
  Weakness of 4th and 5th digits, particularly with flexion
- D.
  
  Weak grip
16.

Entrapment symptoms of the Radial nerve include:
- A.
  
  Impaired sensation in 1st-3rd digits and lateral half of 4th digits
- B.
  
  Impaired sensation on posterior/ radial hand & digits 1-3 (dorsal aspect)
- C.
  
  Difficulty with elbow extension
- D.
  
  Difficulty with wrist and finger extension and grip
17.

Radial nerve innervates ______ muscles.
18.

Compression of the medial nerve at carpal tunnel as a result of inflammation of the flexor tendons and /or median nerve, occurs with overuse especially with poor mechanics.
- A.
  
  Cubital Tunnel syndrome
- B.
  
  Radial Tunnel syndrome
- C.
  
  Carpal Tunnel syndrome
- D.
  
  Tine's sign
19.

Entrapment of the ulnar nerve in the cubital tunnel, (which is formed by the medial epicondyle, olecranon and MCL and band of fibers).
- A.
  
  Cubital Tunnel syndrome
- B.
  
  Radial Tunnel syndrome
- C.
  
  Carpal Tunnel syndrome
- D.
  
  Tinel's sign
20.

Digits shifting to ulnar side of hands at MCPs (common with RA)
- A.
  
  Swan neck deformity
- B.
  
  Boutonniere deformity
- C.
  
  Ulnar drfit
- D.
  
  Dupuytren's Contracture
21.

Entrapment of the radial nerve at various locations in the elbow. (Not as common as entrapment of median and ulnar nerves).
- A.
  
  Carpal Tunnel syndrome
- B.
  
  Cubital Tunnel syndrome
- C.
  
  Radial Tunnel syndrome
- D.
  
  Tinel's sign
22.

PIP hyperextension, DIP flexion as a result of anterior capsule instability at PIP.
- A.
  
  Swan Neck deformity
- B.
  
  Boutonniere deformity
- C.
  
  Ulnar drift
- D.
  
  Dupuytren's Contracture
23.

Contracture of palmar fascia usually causing ring and little fingers to bend into palm; more common in middle aged men; associated with liver disease, but unknown cause.
- A.
  
  Swan Neck deformity
- B.
  
  Boutonniere deformity
- C.
  
  Ulnar drift
- D.
  
  Dupuytren's Contracture
24.

PIP flexion, DIP extension as a result of damage to the extensor tendons and sheaths (extensor hood mechanism)
- A.
  
  Swan Neck deformity
- B.
  
  Boutonniere deformity
- C.
  
  Ulnar drift
- D.
  
  Dupuytren's Contracture
25.

This fracture most commonly occurs from a fall on an outstretched & supinated forearm/ often occurs with dislocation of radial head.
- A.
  
  Colle's fx
- B.
  
  Scaphoid fx
- C.
  
  Radial Head fx
- D.
  
  Ulnar Head fx